How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier None Typical Low $16.60 Median $30.90 Typical High $38.02 | Professional | None | $16.60 | $30.90 | $38.02 |
BCBS Arizona Setting Facility Modifier None Typical Low $57.54 Median $134.90 Typical High $354.81 | Facility | None | $57.54 | $134.90 | $354.81 |
BCBS Arizona Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $7.76 | Professional | None | $4.79 | $4.79 | $7.76 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $66.07 Typical High $616.60 | Facility | None | $56.23 | $66.07 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $33.11 Typical High $53.70 | Professional | None | $17.38 | $33.11 | $53.70 |
Medica Setting Facility Modifier None Typical Low $33.88 Median $316.23 Typical High $1,584.89 | Facility | None | $33.88 | $316.23 | $1,584.89 |
Medica Setting Professional Modifier None Typical Low $33.11 Median $194.98 Typical High $323.59 | Professional | None | $33.11 | $194.98 | $323.59 |
United Setting Facility Modifier None Typical Low $177.83 Median $524.81 Typical High $2,238.72 | Facility | None | $177.83 | $524.81 | $2,238.72 |
United Setting Professional Modifier None Typical Low $17.78 Median $33.88 Typical High $51.29 | Professional | None | $17.78 | $33.88 | $51.29 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.32 Median $15.49 Typical High $15.49 | Professional | 52 · Reduced service | $8.32 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $6.17 Typical High $6.17 | Professional | 53 · Discontinued | $3.31 | $6.17 | $6.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.51 Median $4.68 Typical High $4.68 | Professional | 55 · Aftercare only | $2.51 | $4.68 | $4.68 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.66 Median $3.09 Typical High $3.09 | Professional | 56 · Pre-op care only | $1.66 | $3.09 | $3.09 |
Where Arizona sits
The same service costs 3.8 times more in Alaska than in Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Arizona· 36th of 51
$36.31
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.